Individual
WILLIAM OREN BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.14167R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09023261
—
MS
05
—
1490369
—
LA
Enumeration date
04/28/2006
Last updated
04/29/2010
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